Dermatology Service & Micology Department, Hospital General de México, Dr. Balmis 148, colonia Doctores, 06720 México City, México.
Clinical Microbiology Laboratory, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Av. Vasco de Quiroga 15, Belisario Domínguez Sección XVI, Tlalpan, 14080 México City, México.
Trans R Soc Trop Med Hyg. 2021 Apr 14;115(4):337-339. doi: 10.1093/trstmh/trab037.
Actinomycetoma is a chronic granulomatous infection that follows traumatic implantation. Thoracic actinomycetoma (TA) is rare and may lead to severe complications.
A retrospective study of cases of TA diagnosed from 1985 to 2019 was carried out. Each case underwent direct examination, culture and biopsy.
Sixty-four cases (12.8%) were included, with a male predominance (84.3%); the main occupation was peasant farmer (71.8%) and the main site was the back (76.5%). Vertebral involvement was observed in 21.8% and pulmonary involvement in 7.8%. Nocardia brasiliensis was the main aetiological agent (53 cases, 74.5%).
TA is a poorly studied disease that can cause neurological and lung complications.
放线菌病是一种慢性肉芽肿性感染，继发于创伤性植入。胸放线菌病（TA）较为罕见，可能导致严重并发症。
对 1985 年至 2019 年诊断的 TA 病例进行回顾性研究。每个病例均行直接检查、培养和活检。
共纳入 64 例（12.8%），男性为主（84.3%）；主要职业为农民（71.8%），主要发病部位为背部（76.5%）。21.8%的病例有脊柱受累，7.8%的病例有肺部受累。巴西奴卡菌是主要的病原体（53 例，74.5%）。
TA 是一种研究较少的疾病，可引起神经和肺部并发症。
